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NPI 1134877681

NPI 1134877681 : HOME SWEET HOME SENIOR CARE LLC : ROYSE CITY, TX

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General NPI Number Information
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    NPI Number           |    1134877681
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOME SWEET HOME SENIOR CARE LLC 
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Dates
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    Enumeration Date     |    03/14/2022
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    Last Update Date     |    03/14/2022
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Provider Practice Location Address
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    Address Line         |    572 DOVE LNDG 
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    City                 |    ROYSE CITY
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    State                |    TX
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    Zip                  |    75189-8451
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    Country              |    US
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    Telephone            |    214-394-1695
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    572 DOVE LNDG 
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    City                 |    ROYSE CITY
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    State                |    TX
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    Zip                  |    75189-8451
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    Country              |    US
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    Telephone            |    214-394-1695
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/ADMIN
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    Name                 |     DANIELLE  RAMBO 
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    Credential           |    
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    Telephone            |    214-394-1695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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